title: How does the impact of a community trial on cardio-metabolic risk factors differ in terms of gender and living area? Findings from the Isfahan healthy heart program.
abstract: OBJECTIVE
  To assess the impact of gender and living area on cardiovascular risk factors in the context of a comprehensive lifestyle intervention program.
  
  
  METHODS
  Data from independent sample surveys before (2000--2001) and after (2007) a community trial, entitled the Isfahan Healthy Heart Program (IHHP) were used to compare differences in the intervention area (IA) and reference area (RA) by gender and living area.
  
  
  METHODS
  The interventions targeted the population living in Isfahan and Najaf-Abad counties as IA and Arak as RA.
  
  
  METHODS
  Overall, 12 514 individuals who were more than 19 years of age were studied at baseline, and 9570 were studied in postintervention phase.
  
  
  METHODS
  Multiple activities were conducted in connection with each of the four main strategies of healthy nutrition, increasing physical activity, tobacco control, and coping with stress.
  
  
  RESULTS
  Comparing serum lipids levels, blood pressure, blood glucose and obesity indices changes between IA and RA based on sex and living areas during the study.
  
  
  RESULTS
  In IA, while the prevalence of hypertension declined in urban and rural females (P < 0.05). In IA, the prevalence of hypercholesterolemia and hypertriglyceridemia decreased in both females and males of urban and rural areas except for hypercholesterolemia in rural males (P < 0.01). In RA, the significant changes include both decrease in the hypercholesterolemia among rural males (P < 0.001) and hypertriglyceridemia in urban females (P < 0.01), while hypertriglyceridemia was significantly increased in rural females (P < 0.01).
  
  
  CONCLUSIONS
  This comprehensive community trial was effective in controlling many risk factors in both sexes in urban and rural areas. These findings also reflect the transitional status of rural population in adopting urban lifestyle behaviors.
authors.affiliation: Cardiovascular Research Center, Isfahan Cardiovascular Research Institute,Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Nizal
authors.initials: N
authors.lastname: Sarrafzadegan
authors.forename: Roya
authors.initials: R
authors.lastname: Kelishadi
authors.forename: Mansour
authors.initials: M
authors.lastname: Siavash
authors.forename: Gholamhossein
authors.initials: G
authors.lastname: Sadri
authors.forename: Hossein
authors.initials: H
authors.lastname: Malekafzali
authors.forename: Masoud
authors.initials: M
authors.lastname: Pourmoghaddas
authors.forename: Shahin
authors.initials: S
authors.lastname: Shirani
authors.forename: Maryam
authors.initials: M
authors.lastname: Boshtam
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Asgary
authors.forename: Noushin
authors.initials: N
authors.lastname: Mohammadifard
authors.forename: Ahmad
authors.initials: A
authors.lastname: Bahonar
authors.forename: Babak
authors.initials: B
authors.lastname: Eshrati
authors.forename: Farhad
authors.initials: F
authors.lastname: Ghamsari
keywords: Age; cardiovascular risk factor; community health program; health promotion; rural; sex; urban